Individual
ANDREA FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1471 TWILIGHT TRL STE A, FRANKFORT, KY 40601-8497
(606) 776-1450
Mailing address
1471 TWILIGHT TRL STE A, FRANKFORT, KY 40601-8497
(606) 776-1450
(502) 352-2967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
138642
KY
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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